Relato de caso: paracoccidiodomicose craniana em paciente com Lupus

Abstract

Paracoccidioidomycosis is a systemic fungal infection caused by Paracoccidioides brasiliensis and Paracoccidioides lutzii. This case report presents a patient with lupus who developed cranial paracoccidioidomycosis, highlighting the complexity of clinical management in immunosuppressed patients. The patient exhibited a cranial lesion, secondary bacterial infection, and osteomyelitis, necessitating a comprehensive therapeutic approach. The diagnosis was confirmed by Paracoccidioides culture, and treatment included Vancomycin, Cefepime, and Itraconazole. The discussion emphasizes the importance of meticulous clinical surveillance, adaptation of treatment to the patient's conditions, and ongoing research to improve the management of this challenging condition. This case underscores the need for awareness of paracoccidioidomycosis in patients with immunosuppressive conditions and the importance of collaboration among healthcare professionals to improve the prognosis of these patients.